Lesha Loretta Ellison, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

TC781 Issued in KY

Practice address

2004 Cumberland Ave Ste 100
Middlesboro, KY 40965

Phone

(606) 248-3015

Fax

(606) 248-3024

NPI assigned

Jan 27, 2017

Last updated

Jun 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: kimhealthcenter.leshaellison@156741.advancedmd-direct.com
• Direct secure messaging: lesha.williams.1@4694.direct.athenahealth.com
• Direct secure messaging: lesha.williams.p6@direct.mpmccorp.nextgenshare.com
• Direct secure messaging: leshawilliams@arh.medalliesdirect.net

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1447797444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 CUMBERLAND AVE STE 100",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651385",
            "telephone_number": "606-248-3015",
            "fax_number": "606-248-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 CUMBERLAND AVE STE 100",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "40965",
            "telephone_number": "606-248-3015",
            "fax_number": "606-248-3024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10800 Parkside Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379341922",
            "country_code": "US",
            "telephone_number": "865-218-6240",
            "fax_number": "865-218-6241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "LESHA",
        "middle_name": "LORETTA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Efren B. Valencia, Jr., MD, PSC
• Emily Eldridge
• Elevation Therapy, LLC (Elevation Physical and Occupational Therapy)
• Elite Vision Center LLC
• Amy Elliott, MS, CCC-SLP
• Emaline's Home Medical Equipment, LLC
• Thomas N Epperson III, MD
• Family Discount Drugs
• Family Health Care Associates 12 LLC
• Family Health Care Associates of Corbin

• Physician Assistant in Middlesboro, KY
• Providers in Middlesboro, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.